Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $28.84	Facility		$28.84	$28.84	$28.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $22.91 / $33.88	Professional		$12.88	$22.91	$33.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $16.22 / $16.22	Professional		$16.22	$16.22	$16.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $77.62 / $91.20	Professional		$35.48	$77.62	$91.20
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $34.67 / $42.66	Facility		$31.62	$34.67	$42.66
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $34.67 / $38.02	Professional		$26.30	$34.67	$38.02
Pacific Source Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $36.31	Facility		$35.48	$35.48	$36.31
Providence Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $33.88 / $42.66	Facility		$30.20	$33.88	$42.66
Providence Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $26.92 / $79.43	Professional		$16.22	$26.92	$79.43
Regence BlueShield Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $69.18 / $141.25	Facility		$51.29	$69.18	$141.25
Regence BlueShield Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $52.48 / $91.20	Professional		$27.54	$52.48	$91.20